CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. AUTHORIZED SIGNATURE PRINTED NAME TITLE Effective January 1, 2001 the County of Orange is required to file federal Form 1099-Misc for services received from a “service provider” to whom the COUNTY pays $600 or more or with whom the COUNTY enters into an AGREEMENT for $600 or more within a single calendar year. The purpose of this reporting requirement is to increase child support collection by helping to locate parents who are delinquent in their child support obligations. The term “service provider” is defined in California Unemployment Insurance Code Section 1088.8, subparagraph B.2 as “an individual who is not an employee of the service recipient for California purposes and who received compensation or executes an AGREEMENT for services performed for that service recipient within or without the state.” The term is further defined by the California Employment Development Department to refer specifically to independent CONTRACTORS. An independent CONTRACTOR is defined as “as an individual who is not an employee of the government entity for California purposes and who receives compensation or executes an AGREEMENT for services performed for that … government entity either in or outside of California.” The reporting requirement does not apply to corporations, general partnerships, limited liability partnerships, and limited liability companies.
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 10 calendar days of notice from the County shall constitute grounds for termination
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: with the County of Orange.
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. PRINTED NAME TITLE TOOL CONTROL POLICY Orange County Sheriff’s Department Tool Control Guidelines for Contractors Working in Correctional Facilities The Orange County Sheriff’s Department has implemented a Tool Control Program at all jail facilities. The purpose of the program is to increase the safety at the facilities by keeping dangerous tools out of the hands of inmates. All contractors entering one of these facilities will be required to comply with the program requirements. The security staff at these facilities will make every effort to minimize any inconvenience caused by this program. We are providing you these guidelines so you can prepare the necessary documentation in advance to minimize any delay entering the facility. All contractors performing work inside the security area of the facilities will be required to have their tools inventoried upon entry to, and exit from the facility. Instructions for persons entering the facility: Complete the attached inventory form listing all of the tools you will need to take inside (preferably prior to arrival at the facility). Limiting the number of tools needed, will speed your entry and departure. Present the written inventory at the entrance to the facility at which you are working. A member of the security staff will compare the tools you are taking into the facility to your written inventory and return the form to you after signing it. A member of the security staff will repeat the inventory on your way out of the building to make sure you have not left any tools at the job site. The security staff will retain the original inventory, but will make you a copy if you need one. Contractors performing regular work at these facilities should prepare advance inventories for each toolbox with a few blank lines at the bottom and store the inventories on a computer. When you need to come to a facility, you can print the appropriate pages to take with you and...
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that Xxxxx Xxxx-Xxxxxxxx, PH.,D., ABPP, APC is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: MA-060- 14011457 with the County of Orange.
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. AUTHORIZED SIGNATURE PRINTED NAME TITLE Folder: 626663 36 Contractor’s Initials: Wescraft, Inc. Contract #MA-060-13011719 Effective January 1, 2001, California State Senate Xxxx 542 requires businesses and government entities to report specified information about independent Contractors to the Employment Development Department. An Independent Contractor is defined as an individual who is not an employee of the Business or government entity for California purposes and who receives compensation or executes a Contract for services performed for that business or government entity either in or outside of California. To comply with the reporting requirements of SB 542, County procedures for contracting with Independent Contractors have changed and now mandate that the following information be completed and forwarded to the requesting agency/department immediately upon request. • First name, middle initial, and last name • Social security number • Address • Start and expiration dates of Contract • Amount of Contract
a. XXX Reporting Form First Name Middle Initial. Last Name SSN Contract No. Start Date Expiration Date Dollar Value of Contract:
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that Premier Computing, Inc. is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: MA-060-17010218 with the County of Orange.
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that Truth Be Told Polygraph, LLC, is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: MA-060-15011787 with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. AUTHORIZED SIGNATURE PRINTED NAME TITLE Contractor shall provide pre-employment Polygraph Testing Services to County’s Sheriff-Coroner Sworn Law Enforcement Personnel Applicants as well as Professional Civilian Applicants as more fully detailed below:
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that Goodwill Industries of Orange County is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: MA-060-16011987 with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. AUTHORIZED SIGNATURE PRINTED NAME TITLE COUNTY OF ORANGE CHILD SUPPORT ENFORCEMENT CERTIFICATION REQUIREMENTS EXHIBIT I This data shall be transmitted to governmental agencies charged with the establishment and enforcement of child support order and for no other purposes and shall be held confidential by those agencies.
A. In the case of an individual Vendor, his/her name, date of birth, Social Security number, and residence address: Name:
CERTIFICATION (PART I MUST ALSO BE COMPLETED. I certify that Taser International, Inc., is in full compliance with all applicable Federal and State reporting requirements regarding its employees and with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignments and will continue to be in compliance throughout the term of Contract Number: MA-060-16012158 with the County of Orange. I understand that failure to comply shall constitute a material breach of the contract and the failure to cure such breach within 60 calendar days of notice from the County shall constitute grounds for termination of the contract. AUTHORIZED SIGNATURE PRINTED NAME TITLE This Contract MA-060-18011592 for the Purchase and Delivery of Taser Equipment and Related Supplies (hereinafter referred to as “Contract”) is made and entered into as of the date fully executed by and between the County of Orange, a political subdivision of the State of California (hereinafter referred to as “County”) and Axon Enterprise, Inc. with a place of business at 00000 X 00xx Xxxxxx, Xxxxxxxxxx, Xxxxxxx 00000 (hereinafter referred to as “Contractor”), with a County and Contractor sometimes referred to as “Party” or collectively as “Parties”.
